03D2113310 CLIA NUMBER - DIGNITY HEALTH AZ GENERAL ER

Laboratory Demographics

CLIA Number: 03D2113310

Facility Name: DIGNITY HEALTH AZ GENERAL ER

Facility Address:
14267 WEST BELL RD
SURPRISE, AZ
ZIP 85374
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Facility Phone Number: 972 899-6666

Facility Type: Other - FREESTANDING ER

Certificate Type: Accreditation

NPI Number: 1235680034

Taxonomy: 261QE0002X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2113310
LAB Type	Other - FREESTANDING ER
Facility Name	DIGNITY HEALTH AZ GENERAL ER
Street	14267 WEST BELL RD
City	SURPRISE
State	AZ
ZIP	85374
Phone	972 899-6666
CertificateType	1
CertificateEffectiveDate	3/29/2023
CertificateExpirationDate	3/28/2025
FacilityType	Accreditation

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This page was last updated on: 4/23/2024